黑种乳腺癌幸存者中客观和感知邻里因素之间的途径。
Pathways between objective and perceived neighborhood factors among Black breast cancer survivors.
机构信息
Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, 1590 North High Street, Suite 525, Columbus, OH, 43201, USA.
出版信息
BMC Public Health. 2021 Nov 6;21(1):2031. doi: 10.1186/s12889-021-12057-0.
BACKGROUND
Mounting evidence supports associations between objective neighborhood disorder, perceived neighborhood disorder, and health, yet alternative explanations involving socioeconomic and neighborhood social cohesion have been understudied. We tested pathways between objective and perceived neighborhood disorder, perceived neighborhood social cohesion, and socioeconomic factors within a longitudinal cohort.
METHODS
Demographic and socioeconomic information before diagnosis was obtained at interviews conducted approximately 10 months post-diagnosis from participants in the Women's Circle of Health Follow-up Study - a cohort of breast cancer survivors self-identifying as African American or Black women (n = 310). Neighborhood perceptions were obtained during follow-up interviews conducted approximately 24 months after diagnosis. Objective neighborhood disorder was from 9 items audited across 23,276 locations using Google Street View and scored to estimate disorder values at each participant's residential address at diagnosis. Census tract socioeconomic and demographic composition covariates were from the 2010 U.S. Census and American Community Survey. Pathways to perceived neighborhood disorder were built using structural equation modelling. Model fit was assessed from the comparative fit index and root mean square error approximation and associations were reported as standardized coefficients and 95% confidence intervals.
RESULTS
Higher perceived neighborhood disorder was associated with higher objective neighborhood disorder (β = 0.20, 95% CI: 0.06, 0.33), lower neighborhood social cohesion, and lower individual-level socioeconomic factors (final model root mean square error approximation 0.043 (90% CI: 0.013, 0.068)). Perceived neighborhood social cohesion was associated with individual-level socioeconomic factors and objective neighborhood disorder (β = - 0.11, 95% CI: - 0.24, 0.02).
CONCLUSION
Objective neighborhood disorder might be related to perceived disorder directly and indirectly through perceptions of neighborhood social cohesion.
背景
越来越多的证据表明客观邻里失序、感知邻里失序与健康之间存在关联，但涉及社会经济和邻里社会凝聚力的替代解释还研究得不够充分。我们在一个纵向队列中检验了客观和感知邻里失序、感知邻里社会凝聚力以及社会经济因素之间的途径。
方法
在女性健康圈随访研究 - 一个自我认同为非裔美国或黑人女性的乳腺癌幸存者队列中，在诊断后约 10 个月进行的访谈中获取了诊断前的人口统计学和社会经济信息（n = 310）。在诊断后约 24 个月进行的随访访谈中获得了邻里感知。客观邻里失序是使用谷歌街景对 23276 个地点进行审核得到的 9 个项目，并对每个参与者在诊断时的居住地址进行评分，以估计失序值。人口普查区社会经济和人口组成的协变量来自 2010 年美国人口普查和美国社区调查。使用结构方程模型建立感知邻里失序的途径。通过比较拟合指数和均方根误差逼近来评估模型拟合情况，并报告标准化系数和 95%置信区间作为关联。
结果
感知邻里失序越高与客观邻里失序越高相关（β=0.20，95%CI：0.06，0.33）、邻里社会凝聚力越低以及个体社会经济因素越低（最终模型均方根误差逼近 0.043（95%CI：0.013，0.068））。感知邻里社会凝聚力与个体社会经济因素和客观邻里失序相关（β=-0.11，95%CI：-0.24，0.02）。
结论
客观邻里失序可能与感知失序直接相关，也可能通过对邻里社会凝聚力的感知间接相关。
Zotero 插件